Kaiser Permanente
Location
Woodbridge, Virginia
The nurse care manager coordinates cost-effective services to enhance member quality of life and independence while reducing inappropriate medical service utilization. They collaborate with the healthcare team to assess member needs, create care plans, and provide education on self-management and health navigation.
Candidates must hold an Associate degree in nursing and possess a valid Registered Nurse license. A minimum of two years of case management experience or three years of clinical experience is required, along with the ability to perform in-person home and community assessments.
The nurse care manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. The nurse care manager collaborates with members and the health care team to achieve evidence based clinical objectives and goals specific to preventative health measures and improved disease self-management.
In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources. Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives. Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards. Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community-based resources. Provides education and coaching to improve overall self-management, health, and wellness. Monitors chronic health conditions to achieve optimal self-management.
Case Manager Certificate (CCM) preferred.
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